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ARCHIVED REPORTS_XR0004984
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MUNFORD
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3755
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3500 - Local Oversight Program
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PR0545591
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ARCHIVED REPORTS_XR0004984
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Entry Properties
Last modified
9/16/2020 12:05:50 AM
Creation date
3/19/2020 4:52:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004984
RECORD_ID
PR0545591
PE
3526
FACILITY_ID
FA0005972
FACILITY_NAME
DICK MAU TRUCKING
STREET_NUMBER
3755
STREET_NAME
MUNFORD
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3755 MUNFORD AVE
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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ATC ASSCOATES, INC. <br /> CHAIN OF CUSTODY <br /> Project Informatlon Report To Samples Submitted To <br /> Project No 11, 3 . Consultant ATC Associates Inc Laboratory Argon Lah3 <br /> Project Tale a C r 1 adL5/ ` Address 1117 Lone Palm Avenue Suite B Address 3037 5eh street <br /> LocationSS M vY, 7`tiY O /�[, Modesto California 95351 Ceres CA 95307 <br /> Contact. Drew 1fan A/I-en Contact <br /> Sampler's Name d e,Y1 C y 7 s �.Y7 a i" Phone (209)579-2221 Phone (209)5BI-9280 <br /> (pnnt) Fax (209)579-2225 Fax (209)581 9282 <br /> Sampler's Signature Bill To Date Results Required <br /> Client Same Data Report Required <br /> j/,4? Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (70 pay) a <br /> El 1:1 ® <br /> % 3 <br /> Q) O LL J <br /> A. 111 N N O <br /> COMMENTS <br /> Sample ID Date Time 1 #Containers Matrix Preservative <br /> p7-01#fw-�, dr-r6-6Y 7, 10 wr G aH� t <br /> Trt 6/611 14-ay 91,004 M 2 wdq, - X <br /> I <br /> I <br /> Relin he Date Tlme Received By Date Time SPECIAL INSTRUCTIONS <br /> f 7'�c !/Y 4,73 t '9 "00 Oxyj?Ogps MT d E, <br /> Relinquished By Date Time Received By Date Time I�11�t + ETBF f TOME, /,;2-jC,4_ <br /> - <br /> Relinquished By Dale Time Received 19y Date Time <br /> I9a'%- 1^ to t 6 t'Yp L&Cr <br />
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